Asnis Dental Pllc | |
112 Alexander Ave Unit A Lake Grove NY 11755-0429 | |
(631) 265-6655 | |
(631) 396-0452 |
Full Name | Asnis Dental Pllc |
---|---|
Speciality | Dentist |
Location | 112 Alexander Ave Unit A, Lake Grove, New York |
Authorized Official Name and Position | Hiro Soriano (CIO) |
Authorized Official Contact | 5163445746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Asnis Dental Pllc 135 Pinelawn Rd Ste 150s Melville NY 11747-3187 Ph: (631) 414-7927 | Asnis Dental Pllc 112 Alexander Ave Unit A Lake Grove NY 11755-0429 Ph: (631) 265-6655 |
NPI Number | 1194334607 |
---|---|
Provider Enumeration Date | 07/30/2020 |
Last Update Date | 07/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194334607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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